Individual
JULIE MARIE RABORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 1ST ST NW, SUITE 200, ALBUQUERQUE, NM 87102-2311
(505) 224-9124
(505) 847-9503
Mailing address
600 1ST ST NW, SUITE 200, ALBUQUERQUE, NM 87102-2311
(505) 224-9124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0146461
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NM600653
—
NM
Enumeration date
07/24/2012
Last updated
07/24/2012
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